Integration of Behavioral and Physical Healthcare
One of the major goals of the Indiana State Medicaid program is to achieve a better integration between behavioral and physical healthcare. Psychological factors are closely associated with many physical health issues. Many people turn to their physician first when they become aware that they might need some type of help for things such as depression, anxiety, and chemical dependency. In fact, primary care settings, manage a large portion of people who have psychiatric disorders.
Studies conducted decades ago demonstrated that access to mental health services can significantly reduce healthcare costs and lead to more positive outcomes. Also today no one denies the importance of lifestyle issues such as diet, exercise, medication compliance, and the ability to manage stress, when it comes to our physical health. Many of these issues and problems can best be addressed by professionals with experience in assisting people in making behavioral changes.
Also, research has shown that people with severe and persistent mental illness typically have a disproportionate number of healthcare problems and issues. In some studies, mortality rates have been found to be over seven times higher than average for SMI populations.
Finally with the relatively prosperous baby boomer cohort starting to age, it is highly likely they will use their primary care providers if they need behavioral health care. So for all these reasons is important to get closer coordination and integration of behavioral and physical healthcare. It must be said that there is resistance on both sides and the typical health plan has “carved out” behavioral health as a specialty. In the future, organizations such as LifeSpring will be working much closer with primary care providers and this is especially true for federally funded health clinics. Various collaborative models have been established, such as having a mental health professional co-located in group medical practice settings. Also over the past several years, specialties such as health psychology and hospital liaison psychology have evolved to further the goal of integration.
Integration will present us with many challenges, but also many opportunities to improve the overall health of the people we serve.
Terry Stawar, Ed.D.
President/CEO
LifeSpring
August 11th, 2009 at 11:48 am
Dr. Staywar__
I am Director of the ReThink Tobacco program in Indianapolis. I applaud your vision of whole-person health and the move toward the integration of behavioral and physical healthcare. I serve as policy consultant to behavioral care providers who are seeking to improve their “tobacco” response to the patients they serve. I hopw to meet with you in the next few months.
Tom Lux, Jr.
Director
ReThink Tobacco
A Program of Mental Health AMerica of Indiana
317-638-3501 X 233 or Cell 317-531-5206
Thanks Tom we are working on smoking cessationwith our porgram.
Terry
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